Provider Demographics
NPI:1669558136
Name:AGGARWAL, VED V (MD)
Entity type:Individual
Prefix:DR
First Name:VED
Middle Name:V
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 LIPSCOMB ST STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3181
Mailing Address - Country:US
Mailing Address - Phone:817-348-8600
Mailing Address - Fax:871-348-8602
Practice Address - Street 1:1000 LIPSCOMB ST
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104
Practice Address - Country:US
Practice Address - Phone:817-348-8600
Practice Address - Fax:817-870-2848
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7495207L00000X, 207Q00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00222119OtherRR MCR PTAN
TX14081505Medicaid
TX612065800OtherUS DEPARTMENT OF LABOR
TX8P0340OtherBLUE CROSS
WA8203509OtherWASHINGTON WC
1152807OtherCIGNA
TX3488569OtherAETNA
P00222119OtherMEDICARE PTAN